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Responding to Targeted Medical Review

Jul 1, 2017/Column

CMS is reviewing some therapy claims that exceed the $3,700 Medicare Part B threshold. Here's what to know, and what to do, if you are contacted

Clinical Test of Sensory Interaction and Balance (CTSIB)

Aug 31, 2017/Test & Measure

Measures the influence of visual, vestibular, and somatosensory input on standing balance.

Epic Lift Capacity Test (ELC)

Jun 16, 2022/Test & Measure

The EPIC Lift Capacity test (ELC) is used to evaluate lifting capacity through different vertical ranges necessary to carry out the occupational demands required for lifting on an occasional or frequent basis.

Functional Gait Assessment (FGA)

Jun 10, 2019/Test & Measure

FGA is a modification of the Dynamic Gait Index and was created to help decrease the ceiling effect and improve reliability.

Sport Concussion Assessment Tool 3 (SCAT3) and Child-SCAT3

Aug 9, 2018/Test & Measure

Used to assess concussions in athletes who are aged 13 years or older.

Total Hip Arthroplasty (THA)

Jun 13, 2016/Clinical Summary

THA to improve hip joint stability, mobility, locomotion, and quality of life is considered one of the most successful surgical procedures.

Win: CMS Says SNFs, Hospitals, HHAs, Rehab Agencies, Other Institutional Settings Can Bill Telehealth Outpatient Therapy Claims

May 29, 2020/News

The clarification from CMS applies to settings that use institutional claims such as UB-04.

The Keys to Effective Documentation

Aug 1, 2016/Column

Be thorough and try to think like a payer.

Final 2022 Home Health Rule: No Big PDGM Changes, But a Surprise Payment Boost

Nov 5, 2021/Review

CMS stuck to most of what it proposed in June but opened the possibility for a 2.6% payment increase for qualifying HHAs.